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LISA ROBIN GLASS NURSE PRACTITIONER
NPI 1962961615
Nurse Practitioner - Family in Vail, AZ

Active since March 12, 2019PECOS EnrolledAccepts Medicare Assignment
13370 E MARY ANN CLEVELAND WAY STE 102, VAIL, AZ 85641(520) 585-5002(520) 585-5008 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2026, Aug 4, 2022, Jul 19, 2022 and 1 more (4 updates tracked since 2019).

About Lisa Robin Glass Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ROBIN GLASS NURSE PRACTITIONER (NPI 1962961615) is an individual family provider in Vail, Arizona, licensed in Arizona (227363) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962961615
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA ROBIN GLASSCredential: NURSE PRACTITIONER
Location Address13370 E MARY ANN CLEVELAND WAY STE 102Vail, AZ 85641-8610
Mailing Address85 Fairfield Way Apt 9Commack, NY 11725-3426 · (631) 651-8922
Phone(520) 585-5002
Fax(520) 585-5008
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 12, 2019
Last NPPES UpdateMay 21, 20264 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1962961615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AZ · 227363✔ Licensed in NY · 344218
13370 E MARY ANN CLEVELAND WAY STE 102, Vail, AZ 85641
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Secondary Practice Location 1

Location 12720 S 6th AveTucson, AZ 85713-4701 · Phone (520) 475-5418 · Fax (520) 300-8034

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Robin Glass Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325376619
PECOS Enrollment IDI20190823003271
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Glass reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Benson Hospital Corporation
24 mi
Critical Access
450 S OCOTILLO AVE
Benson, AZ 85602
  • Reassigned Medicare billing, Arizona enrollment
  • 152 clinicians in this Medicare group
NPI 1336118322 (520) 586-2261
Oak Street Health Physicians Group Of Arizona PLLC
106 mi
Primary Care
183 W APACHE TRL
Apache Junction, AZ 85120
  • Reassigned Medicare billing, Arizona enrollment
  • 93 clinicians in this Medicare group
NPI 1063083590 (480) 618-0945

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85641 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Glass's NPI number?

The NPI number for Lisa Glass is 1962961615. It was assigned to this individual provider in the NPPES registry on March 12, 2019.

Where is Lisa Glass located?

Lisa Glass practices at 13370 E Mary Ann Cleveland Way Ste 102, Vail, AZ 85641. The listed phone number is (520) 585-5002.

What is Lisa Glass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Glass enrolled in Medicare?

Yes. Lisa Glass is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lisa Glass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Glass reassigns Medicare benefits to 2 organizations: Benson Hospital Corporation (Benson, AZ) and Oak Street Health Physicians Group Of Arizona PLLC (Apache Junction, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Glass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Glass accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Cigna HealthCare of Arizona, Inc list Lisa Glass as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Glass was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.